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4J� <br />Apr,23. 2007 9.42AM gdvanced GeoEnyi ronmental <br />SAN JOAQUIN COUNTY <br />J ENVIRONMENTAL HEALTH DEPARTMENT <br />APR S-1 C 2007 304 East Weber Avenue, 3Ta Floor, Stockton, CA 95202-27 <br />Telephone, (209) 468-3420 Fax: (209) 464-01.38 Web: www.sjgov. <br />i:j. Vi}i(yi1if ' . <br />PUBLIC RECORDS RELEASE APPLICA°TIO <br />APPLICANT; <br />ADDRESS: 4 J'fJrt(1/� f -W( #A., J! t►i-a l <br />PHONE (1): f7Q� `-_Y& (_.- 14006 PHONE (2), <br />TENTATIVE" APPOINTMENT DATE: <br />(Please allow 10 buSinesa days from date of ap <br />44. CHECK BOX TO EXPEDITE W EST • $95= FEE (C( <br />SIGNATURE OF APPLICANT A <br />Electronic Information: 0 List D Map —Description: <br />No, 8342 P. 1 <br />EHID LCG NUnnaF=R_ <br />BUSINESSIAGENCY: (Bi ittncA,DERVItro &PA 1 <br />SIMILE: s9c[.J T - 7 /A 7 -/// <br />_ Time: _jM <br />only . must be <br />OR C ECK ONLY] - REQUEST PROCESSED IN 3 B SINE DAYS <br />DAVE � A <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br />UNDERGRGUND TANK (UST) CLEANUP SITE (LOP) <br />M HOUSING ABATEMENT <br />0 SOLID WAST= FAMUTYNEHICLE <br />+y�► <br />1� OTHER CLEANUP $ITE (NON -LOP) <br />❑ FOOD FACILITY <br />❑ WASTE TIRE <br />UNDERGROUND TANK (MONiTORINGIREMOVAL) <br />❑ DOG KENNEL <br />❑ DAIRY <br />HAZARDOUS WASTE GENERATOR <br />❑ CHICKEN RANCH <br />t3 WASTEWATER TREATMENT PLANT <br />TIERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />NUMPER TRUCKIYARDICHEM TOILETS <br />❑ TAYTuaiSuDY PIERCING <br />❑ POOUSPA <br />AND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />❑ OTHER (PLEASE RPECIFYI <br />_ <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-b:OOPM - EXCLUDING HOLUDAYS <br />1. List up to ton addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one fila type MUST be selected. Fax to X2091464.0138 or mail to the address indicated above. Addrese <br />ranges will not be accepted — for additional assistance with file addresses, contact the EHD. Applications received after <br />3:00 pm will be processed the next business day. <br />Z The EHD will notify the applicant if any EHD files exist- An appointment for review will be confirmed approximately ten (10) <br />days after rocelpt of application. The files will be held for a maximum of Five business days for review. Appointments <br />should be scheduled accordingly. <br />3. A file that is actively being worked on by I=HD staff may not be Immediately available for review. A new application may be <br />submitted when the file is available. <br />4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $95.00 deposit prior to review. <br />EHD USE ONLY <br />E14D"-d6 9/7=06 <br />